FRED SANFORD HERZON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036040448

License Status

NOT RENEWED

Business

First Name

FRED SANFORD

Last Name

HERZON

Suffix

Business Name

FRED SANFORD HERZON MD

Original Issue Date

07/05/1966

Effective Date

07/05/1966

City

ALBUQUERQUE

State

Zip

87110

County

NEW MEXICO

Ever Disciplined

LastModifiedDate

09/20/2006